We live in a society where the word "surgery" is a taboo and not readily accepted. People are reluctant to go under the knife for various reasons. One of the reasons is fear of unknown, which causes a lot of anxiety to the patients. The thought of getting wheeled into the operation theatre, leaving behind loved ones can be pretty scary. This blog is being written to familiarise the patients and their relatives as to what exactly happens in the operation theatre (OT).
On the day of surgery, the patients are admitted and later shifted to the pre-operative area. we always try to the cut down the waiting time before taking the patients into the OT. In the pre operative area, patients will be received by the nurse, who is suppose to make you comfortable and settle you down. The anaesthetist incharge and the surgeon from the team who will be operating on you will meet you and do a final exam and review all investigations. Any doubts or questions can be answered at this moment.
So here's a virtual tour of the operating room.
Change the OT picture " our media guys will give you one"
Now its time to say your prayers and patient gets wheeled into the OT. one very common question we get asked is " how long will the surgery be ?". The surgeon only mentions the operating time. we need to realise, there is so much that needs to be done before the surgery starts.
Usually it take at least an 1hour to administer anaesthesia, position the patient, prepare and drape the limb for surgery,
The first thing that hits you, once you are in the operation theatre is how cold it is. its mandatory to maintain a certain temperature for sterility purposes. once the patient is prepped and draped they will feel warm and comfortable.
Operation theatre is a high intensity area, as many as 6-7 people might be working on you simultaneously. This sometimes can be quite unnerving for the patient. It the duty of the OT personnel to tell you what they are about to do and then proceed.
The first thing that is done is, give anaesthesia to the patient, this is the only aspect of surgery where we need the patient to actively participate. The anaesthetist might require you to sit still for spinal block. Once its done, the patient can relax. Under spinal the patients are aware of the surroundings but totally painless.
One apprehension most patients have is, "will i have pain during surgery ? " The procedure is totally painless, pain usually sets in after the operation is done and the anaesthesia wears out in the post op recovery area.
Some times you can hear a lot of noises, monitors bleeping, pounding of instruments, sound of various machinery. While is very normal for the surgeons, it can be quite disconcerting for the patient. You can request for some sedation, which can help you sleep while the procedure goes on.
As a surgeon the goal is to do a perfect job in the least possible time with optimum result. sometimes the surgery can get prolonged for various reasons, this makes the relatives outside a bit edgy. we usually instruct the nursing staff to inform the relatives outside about the progress of the case.
- The chief surgeon usually come out and explains to the relatives, how the surgery went.
- Most patients are kept in the post operative recovery till next day morning. This helps close monitoring of the patients vitals. The SICU staff and the anaesthetist are 24 hours on call attending the post op patients.
Anaesthesia is one of the most essential aspect of surgery. We are equipped with the one of the most advanced and well experienced team of Anaesthetists. Our job as surgeons becomes so easy, when we have a good anaesthesia team.
The patients interact with the anaesthetists more than the surgeon during the surgery. They monitor the vitals, administer various medications, talk to the patients, giving them updates about surgery. Its their job to keep the patient stable through out surgery.
The most crucial period after surgery is the first 24 hours. Again this falls under the domain of the anaesthetists.
- Post surgery we allow liquids after 4 hours, once the patient is fully conscious. They can start with regular diet in the evening.
- Most Joint replacement patients are made to walk next day morning and shifted out of SICU once all the reports are stable.
This is a brief overview as to what goes on in the operation theatre. All patients going in for surgery should be made aware about the details mentioned here, so that, they know whats coming and this can remove lot of apprehension and heart burn for the patients. Its our mission that every patient who walks into sunshine hospital, gets operated receives the best possible care along with lot of compassion and professionalism
About Dr Gurava Reddy:
Dr. A.V. Gurava Reddy is widely regarded as a visionary in the field of orthopaedics and is known for embracing the human side of healthcare. His exemplary career that spans more than two decades has ensured happy and trouble-free lives for patients.
Dr. A.V. Gurava Reddy performs close to 2000 Joint Replacements (Hip, Knee and Shoulder both Primary and Revision) in a year, which is the second highest in entire South Asia. He is one of the best joint replacement surgeons in India and is supported by an experienced team of 100+doctors and paramedical staff. Dr. A.V. Gurava Reddy has extensive international experience, having worked for more than ten years in the UK. At present, he conducts surgeries in the Middle East and is a popular medical expert frequently consulted in Europe and USA.
Dr. A.V. Gurava Reddy’s inspiring and remarkable journey as a globally renowned joint replacement surgeon drives Sunshine Hospitals towards the zenith of healthcare delivery.